Navigation Links
Overnight Stay May Not Be Necessary for Stenting: Study
Date:10/5/2011

By Amanda Gardner
HealthDay Reporter

TUESDAY, Oct. 4 (HealthDay News) -- Heart patients who have stenting procedures to open up narrowed arteries fare just as well if they are released the same day as if they are sent home a day or two later, new research shows.

"[Discharging patients the same day] wasn't associated with any increased risk at all," said Dr. Sunil V. Rao, lead author of a study appearing in the Oct. 5 issue of the Journal of the American Medical Association. "We were surprised. Not only were the results similar but . . . they were almost identical."

The current practice at most centers is to keep patients overnight for observation.

"[Same-day discharge] is long overdue," added Dr. Craig Narins, professor of medicine at the University of Rochester School of Medicine. "Some of the recent advances in angioplasty have made the procedure so safe and, for select patients, the likelihood of immediate complications are just so low it just makes sense to do this. It's definitely the wave of the future."

The biggest advance, said Narins, is the procedure is now done through the radial artery (in the wrist) rather than the femoral artery (in the thigh).

"That makes the likelihood of vascular/bleeding complications very, very low after the procedure," he said.

Stenting procedures, or percutaneous coronary intervention (PCI), involve placing a balloon (balloon angioplasty) or a stent in a narrowed coronary artery to open it up and ease blood flow.

More than 1 million of these procedures are performed each year among Medicare beneficiaries, making it one of the most common medical procedures in the United States.

Other countries, including many in Europe as well as India and Canada, are already doing the procedure on an outpatient basis, noted Rao, who is associate professor of medicine at Duke University Medical Center in Durham, N.C.

The safety of stenting as an outpatient procedure has been backed by smaller studies, but this study is the first to look at many centers at once, all told treating more than 100,000 Medicare recipients.

The researchers found no major differences in mortality or readmission to the hospital after same-day stenting either right after the procedure or 30 days later.

The bleeding rate was extremely low -- only 1 percent -- and the same in both groups of patients.

But the authors only looked at very low-risk patients, those who were undergoing elective PCI and who had not arrived in the emergency room with blaring ambulance lights and in the midst of a heart attack.

And if hospitals and heart centers are going to adopt this practice, it's important that they have in place education strategies and telephone numbers for patients to call if they have a question or problem.

"It's a program. It's not just, 'Oh, you're low risk. We're going to get you out of the door,'" said Rao, who is also director of Duke's Cardiac Catheterization Lab.

Narins' hospital started a same-day stenting protocol about six months ago that does include such safeguards.

"We're starting off with patients who are pretty healthy to begin with. These are simple and straightforward angioplasty procedures that go well without complications," he said. "The patients live locally, say within 30 miles of the hospital, and have good support at home. They're not going to be going home by themselves. If something unexpected happens, they'd be able to get in touch with us."

More information

The Radiological Society of North America has more on stenting.

SOURCES: Sunil V. Rao, M.D., associate professor, medicine, and director, Cardiac Catheterization Lab, Duke University Medical Center, Durham, N.C.; Craig Narins, M.D., associate professor, medicine, University of Rochester Medical Center, New York; Oct. 5, 2011 Journal of the American Medical Association


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Overnight My Ice Cream for the Olympics
2. New research shows $6.7 billion spent on unnecessary tests and treatments in one year
3. New diagnostic imaging for lung cancer could prevent unnecessary surgery
4. Strong leadership necessary to provide more sophisticated care for aging population, study finds
5. Local efforts can stem the increasing unnecessary cesarean sections
6. Simple guidelines decreased unnecessary antibiotic use in Quebec, Canada
7. Excluding children from discussions about their hospital care causes unnecessary distress
8. RI Hospital researchers find common test may be unnecessary for bariatric surgery candidates
9. Hospitalizing children with normal CT scans after blunt head trauma is not necessary
10. Treatment gap leaves many older adults at unnecessary risk of fracture
11. Unnecessary Blood Tests Plunge After Cost Reminders: Study
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Overnight Stay May Not Be Necessary for Stenting: Study
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is helping ... fitness app. The fitness app plans to fix the two major problems leading the fitness ... size fits all type program , They don’t eliminate all the reasons people ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... "With 30 ... their specific project," said Christina Austin - CEO of Pixel Film Studios. , ... and all within Final Cut Pro X . Simply select a ProHand generator ...
(Date:6/25/2016)... ... ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter of indulgence ... high can result in disappointment, perhaps even self-loathing. However, those who set the bar ... from PsychTests.com reveals that behind the tendency to set low expectations is ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... Conference and Scientific Sessions in Dallas that it will receive two significant new ... the grants came as PHA marked its 25th anniversary by recognizing patients, medical ...
(Date:6/24/2016)... ... , ... People across the U.S. are sharpening their pencils and honing their ... in which patients and their families pay tribute to a genetic counselor by nominating ... of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 Roche ... received 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) ... severe sepsis or septic shock. With this clearance, Roche ... provide a fully integrated solution for sepsis risk assessment ... associated with bacterial infection and PCT levels in blood ...
(Date:6/23/2016)... VIEW, Calif. , June 23, 2016 ... a.m. CST on Thursday, July 7, 2016 , , , ... kayla.belcher@frost.com ) , , , , EXPERT PANELISTS:  , ... Nitin Naik; Senior Industry Analyst, Christi Bird; Senior Industry Analyst, Divyaa ... The global pharmaceutical industry is witnessing an ...
(Date:6/23/2016)... 23, 2016 The vast majority of dialysis ... facility.  Treatments are usually 3 times a week, with ... including travel time, equipment preparation and wait time.  This ... grueling for patients who are elderly and frail.  Many ... and rehabilitation centers for some duration of time. ...
Breaking Medicine Technology: